Brandon-Evansville Bullying/Incident Report Form
At the Brandon-Evansville School District Courage, Honesty, Accountability, Respectfullness, Graciousness, & Excellence are all characteristics that are expected from students and staff. Please use this form to share your concern. This report will reviewed by the school Superintendent, Principal or Dean of Students.
Date of Incident
Time of Incident (for example, after 2nd hour)
Location of incident
Names of People Involved:
Please report the details of the incident:
This incident can be described the following way:
This is the Bullying Reporting Site. However this site is only monitored on school calendar days. This is not a crisis line. If you have immediate safety concerns involving a physical threat, suicidal thoughts or threats, or concerns about a weapon or anyone’s immediate physical safety, please call 911
Please check the box to show that you have read the above statement.
Name of person reporting
Contact information: (example cell phone 320-555-1212, call after 5 PM)
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